Development of an Implementation Process Model: a Delphi study

Abstract Background There is general scarcity of research on key elements implementation processes and the factors which impact success. Implementation healthcare interventions a complex process. Tools to support can facilitate this process improve effectiveness clinical outcomes. Understanding tools critical aspect The objective study was solicit knowledge agreement from relevant science translation experts in order develop model Methods A two round, modified Delphi involving international (researchers, scientists, professors, decision-makers) conducted. Participants rated commented all aspects model, including organization, content, scope, structure. questions at 75% or lower were reviewed revised. Qualitative comments supported restructuring refinement. second-round survey followed same as Round 1. Results Fifty-four participated 1, 32 2. Twelve percent ( n = 6) 1 did not reach agreement. Key themes for revision refinement were: stakeholder engagement throughout process, iterative nature process; importance context; using guiding theories frameworks. revised refined based quantitative qualitative data reassessed by Agreement achieved items 2 concluded. Additional feedback obtained regarding terminology, target users definition Conclusions High levels attained sub-domains, elements, sub-elements Process Model. This will be used an Support Tool providers effective improved